r/HealthInsurance • u/DecentDeer2818 • Jul 04 '25

Plan Choice Suggestions Is this coverage pricing the norm?

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Hi all,

I just got a job offer in NYC where the cost of living is crazy high, as you probably know. This is my first corporate job and I need advice/feedback on is this pricing structure for insurance is the norm.

I know you can’t believe everything you read on the internet but I’ve read that the general norm is for the employer to cover 80-85% of the monthly premium.

I would be earning less than 75k and only covering myself but the price still seems quite high? I’ve never paid more than $118 bi-weekly.

Thank you.

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8

u/Throwawaytrashpand Jul 05 '25

I don’t know where you work but remind me to never work there. I’m the insurance carrier for my family and holy shit… 928.18/pay on this plan for full family? That’s like easily 45% of pay at 75K This plan is shit.

My family plan through my employer is 212/pay.. that your employee only plan is almost that.. this is a shit plan.

3

u/DecentDeer2818 Jul 05 '25

This is exactly how I was feeling when I first saw it, hence my reaching out to you all. 😭

3

u/laurazhobson Moderator Jul 05 '25

It costs your employer approximately $1500 to insure a spouse and they do subsidize a portion of that.

A company only has a certain amount of money which is can use for workers in the form of salary and benefits. The employer is already subsidizing a huge amount for spouses and children

If you aren't insuring your spouse and/or children would you want to have your salary reduced or your vacation accrual or other benefits?

3

u/DecentDeer2818 Jul 05 '25

I think that’s a broader topic, but I see your point. I really was just hoping to learn what was average percentage that employees are paying in relation to their premium and coverage so I can figure out if this works for me.

4

u/AwfullyChillyInHere Jul 05 '25

If you only want averages, then here you go!

The premiums for the average family plan in the U.S. come to just over $25,000 per year.

Of those premiums, the average employer pays about 75%.

So, the average family pays about $6,000 per year in premiums alone.

Deductibles, co-pays, and co-insurance are all on top of that $6,000 share of the $25,000+ total premium.

Our system is just fucked up.

3

u/pharmucist Jul 05 '25

Jeez, I am paying $7500/year for my insurance and it's just me, nobody else on the plan. It IS good insurance, though. No referrals needed for anything and I can see whatever doc I want whenever. $2k deductible, $4k max OOP. Man, healthcare is expensive in the US.

1

u/laurazhobson Moderator Jul 05 '25

I wasn't responding to you directly since you are insuring only yourself but to people who thought the premiums for spouse and child were "outrageous".

As health insurance becomes increasingly expensive employers are faced with difficult choices - do they want to charge more/reduce benefits for actual employees.

Employers with better benefits wind up essentially giving other companies a free ride since spouses choose the "better" more generous plan which creates the kind of pricing/

3

u/PseudonymIncognito Jul 05 '25

Spousal exclusions are a thing in plans. My employer won't allow spouses to be covered if they are employed and have access to their own health insurance benefits.

1

u/DecentDeer2818 Jul 05 '25

I get you, and you make a fair point and it would be an interesting discussion. I think this thread is just having me realize my own ignorance and naivety about insurance and pricing as a whole.